Individual
SHEILA THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2980 CHANDLER AVE, LINCOLN PARK, MI 48146-2914
(313) 740-3309
Mailing address
2980 CHANDLER AVE, LINCOLN PARK, MI 48146-2914
(313) 740-3309
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703078735
MI
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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